Abdel Ghafar Mohamed A, Abdelraouf Osama R, Abdel-Aziem Amr A, Mousa Gihan Samir, Selim Ali O, Mohamed Mariam E
Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia..
J Rehabil Med. 2021 Nov 30;53(11):jrm00240. doi: 10.2340/jrm.v53.900.
One of the important goals in the treatment of spastic cerebral palsy is to maintain efficient and effective walking in order to be independent in activities and participate in society.
To compare the efficacy of foot combination taping of kinesio tape and athletic tape vs ankle foot orthosis in correcting spatiotemporal gait parameters in children with spastic diplegia.
Thirty-six children with spastic diplegia were randomly assigned into 3 groups; control, combination taping, and ankle foot orthosis groups. Children in the control group, in addition to those in both experimental groups, continued with conventional physical therapy, 1 h, 3 times per week for 4 weeks. Spatiotemporal gait parameters were assessed with the GAITRite system before and after the application of interventions.
Significant increases in walking velocity, step length, stride length, right single support duration, and left single support duration of the ankle foot orthosis and combination taping groups than pre-intervention values. [AQ9] Moreover, the post--intervention values of the double support duration of the ankle foot orthosis and combination taping groups were significantly lower than pre-intervention values. There were no significant differences between the post-intervention values of the ankle foot orthosis and combination taping groups for all parameters.
The results demonstrated that combination taping is an effective alternative technique to ankle foot orthosis to improve spatiotemporal parameters in children with spastic diplegic in combination with conventional physiotherapy.
治疗痉挛型脑瘫的重要目标之一是保持高效且有效的步行能力，以便能够独立进行活动并参与社会生活。
比较肌内效贴布与运动贴布联合足部贴扎与踝足矫形器对痉挛型双瘫患儿时空步态参数的矫正效果。
将36例痉挛型双瘫患儿随机分为3组：对照组、联合贴扎组和踝足矫形器组。对照组患儿以及两个实验组患儿均继续接受常规物理治疗，每周3次，每次1小时，共4周。在干预措施实施前后，使用GAITRite系统评估时空步态参数。
踝足矫形器组和联合贴扎组的步行速度、步长、步幅、右侧单支撑时间和左侧单支撑时间较干预前均显著增加。此外，踝足矫形器组和联合贴扎组的双支撑时间干预后值显著低于干预前值。踝足矫形器组和联合贴扎组干预后所有参数的值之间无显著差异。
结果表明，联合贴扎是一种有效的替代技术，可替代踝足矫形器，与常规物理治疗相结合改善痉挛型双瘫患儿的时空参数。
